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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2600126466 |
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最近更新日期: Date of Last Refreshed on: |
2026-06-09 16:14:32 |
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注册时间: Date of Registration: |
2026-06-09 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
比较替尼泊苷与依托泊苷治疗儿童原发中枢神经系统生殖细胞肿瘤的疗效及安全性研究 |
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Public title: |
A Comparative Study on the Efficacy and Safety of Teniposide and Etoposide in the Primary Central Nervous System Germ Cell Tumors in Children |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
比较替尼泊苷与依托泊苷治疗儿童原发中枢神经系统生殖细胞肿瘤的疗效及安全性研究 |
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Scientific title: |
A Comparative Study on the Efficacy and Safety of Teniposide and Etoposide in the Primary Central Nervous System Germ Cell Tumors in Children |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
唐燕来 |
研究负责人: |
唐燕来 |
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Applicant: |
Yan-Lai Tang |
Study leader: |
Yan-Lai Tang |
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申请注册联系人电话: Applicant telephone: |
+86 156 2620 2579 |
研究负责人电话:
Study leader's |
+86 156 2620 2579 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
tangylai@mail.sysu.edu.cn |
研究负责人电子邮件: Study leader's E-mail: |
tangylai@mail.sysu.edu.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
广东省广州市越秀区中山二路58号 |
研究负责人通讯地址: |
广州市中山二路58号 |
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Applicant address: |
Zhongshan Second road, Yuexiu District, Guangzhou, Guangdong |
Study leader's address: |
58 Zhongshan Road 2nd,Guangzhou 510080, P.R.China |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
中山大学附属第一医院 |
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Applicant's institution: |
The First Affiliated Hospital, Sun Yat-sen University |
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研究负责人所在单位: |
中山大学附属第一医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital,Sun Yat-sen University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
伦审临[2026]177 号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中山大学附属第一医院临床科研和实验动物伦理委员会 |
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Name of the ethic committee: |
IEC for Clinical Research and Animal Trials of the First Affiliated Hospital |
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伦理委员会批准日期: Date of approved by ethic committee: |
2026-05-27 00:00:00 | ||
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伦理委员会联系人: |
陈湛勇 |
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Contact Name of the ethic committee: |
Chen ZhanYong |
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伦理委员会联系地址: |
广州市中山二路58号 |
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Contact Address of the ethic committee: |
58 Zhongshan Road 2nd,Guangzhou 510080, P.R.China |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 20 8733 8035 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
chenzhy233@mail.sysu.edu.cn |
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研究实施负责(组长)单位: |
中山大学附属第一医院 |
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Primary sponsor: |
The First Affiliated Hospital,Sun Yat-sen University |
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研究实施负责(组长)单位地址: |
广州市中山二路58号 |
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Primary sponsor's address: |
58 Zhongshan Road 2nd,Guangzhou 510080, P.R.China |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
北京双鹤药业销售有限责任公司 |
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Source(s) of funding: |
Beijing Double-Crane Pharmaceutical Trading Co., Ltd. |
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研究疾病: |
生殖细胞肿瘤( Germ Cell Tumors, GCTs) 是一组源于胚胎发育早期原始生殖细胞( Primordial Germ Cells, PGCs) 的异质性肿瘤。 原发性中枢神经系统生殖细胞肿瘤( CNS GCTs) 是生殖细胞肿瘤这一胚胎源性恶性肿瘤在颅内的特异性表现形式。 临床上,CNS GCTs 好发于松果体区( 约 50%) 和鞍上区( 约 20%-30%) 。 松果体区肿瘤常 |
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Target disease: |
Germ cell tumors (GCTs) are a heterogeneous group of tumors that originate from primordial germ cells (PGCs) during early embryonic development. Primary central nervous system germ cell tumors (CNS GCTs) are a specific intracranial manifestation of germ cell tumors, a group of embryonic-origin malignant tumors. Clinically, CNS GCTs most commonly occur in the pineal region (approximately 50%) and t |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
其它 | ||||||||||||||||||||||
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Study phase: |
N/A |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
生殖细胞肿瘤( Germ Cell Tumors, GCTs) 是一组源于胚胎发育早期原始生殖细胞( Primordial Germ Cells, PGCs) 的异质性肿瘤。目前的标准治疗已确立为“以铂类+依托泊苷为基础的诱导化疗联合放疗”的综合模式,然而, 对于非生殖细胞瘤性生殖细胞肿瘤( NGGCTs) , 部分患者仍面临缓解不全或复发风险, 且长期随访显示化疗药物( 尤其是顺铂) 可能导致永久性听力损伤等后遗症。尽管替尼泊苷在脑胶质瘤及脑转移瘤中已显示出良好的入脑能力, 但在儿童 CNS GCTs 领域, 目前国内外尚缺乏其与依托泊苷进行直接比较的高质量循证证据。 现有的 NCCN 指南仍主要基于 VP-16 的数据, 因此, 前瞻性验证高脂溶性的替尼泊苷是否能转化为更高的深部病灶缓解率和生存获益, 具有重要的临床价值。 |
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Objectives of Study: |
Germ cell tumors (GCTs) are a heterogeneous group of tumors that originate from primordial germ cells (PGCs) during early embryonic development. The current standard of care has been established as a comprehensive regimen of “induction chemotherapy based on platinum agents and etoposide combined with radiotherapy.” However, for non-germ cell germ cell tumors (NGGCTs), some patients still face the risk of incomplete remission or recurrence, and long-term follow-up has shown that chemotherapy drugs (especially cisplatin) may lead to sequelae such as permanent hearing loss. Although teniposide has demonstrated good brain penetration in gliomas and brain metastases, there is currently a lack of high-quality, evidence-based data from both domestic and international studies directly comparing it with etoposide in the field of pediatric CNS GCTs. Current NCCN guidelines remain primarily based on data from VP-16; therefore, prospective validation of whether the highly lipophilic teniposide can translate into higher deep lesion response rates and survival benefits holds significant clinical value. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.年龄: ≤18 岁。 2.必须具有至少一个 RANO 标准定义的可测量病变; 3.既往未经过治疗, 确诊为儿童原发中枢神经系统生殖细胞肿瘤( 包括畸胎瘤、 卵黄囊瘤、 胚胎性癌等亚型); 4.预计生存期≥6 个月; 5.实验室检查符合以下标准:a) 中性粒细胞绝对计数≥1.0×109/L;b) 血小板计数≥100.0×109/L( 非输注血小板后) ;c) 总胆红素≤1.5×正常值上限( ULN) ;d) 谷草转氨酶( AST) 和谷丙转氨酶( ALT)≤2.5×ULN; e) 肾小球滤过率估计值≥70mL/min/1.73m2 或正常血清肌酐( Cr) 。 6.愿意并能够阅读、 理解并签署书面知情同意者, 儿童或青少年受试者的父母 /监护人有能力在启动任何方案相关程序前理解、 同意和签署研究知情同意书和 适用的儿童同意表。 |
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Inclusion criteria |
1. Age: 18 or younger. 2. Must have at least one measurable lesion as defined by the RANO criteria. 3. Previously untreated, diagnosed with primary central nervous system germ cell tumors in children (including subtypes such as teratomas, yolk sac tumors, and embryonal carcinomas). 4. Expected survival of >=6 months. 5. Laboratory test results meet the following criteria: (1) Absolute neutrophil count >= 1.0 × 10^9/L; (2) Platelet count >= 100.0 × 10^9/L (not following platelet transfusion); (3) Total bilirubin <= 1.5 × upper limit of normal (ULN); (4) Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <= 2.5 × ULN; (5) Estimated glomerular filtration rate (eGFR) >= 70 mL/min/1.73 m^2 or normal serum creatinine (Cr). 6. Parents or guardians of child or adolescent participants who are willing and able to read, understand, and sign a written informed consent form are capable of understanding, consenting to, and signing the research informed consent form and the applicable child consent form prior to the initiation of any study-related procedures. |
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排除标准: |
1.接受任何其他抗癌试验治疗的患者; |
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Exclusion criteria: |
1.Patients receiving any other anticancer trial treatment; |
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研究实施时间: Study execute time: |
从 From 2026-06-04 00:00:00至 To 2029-06-03 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2026-06-09 00:00:00 至 To 2029-06-03 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
随机化分层因素为危险度分层, 随机化分配表由统计学家生成。 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
The stratification factor for randomization is risk level, and the randomization allocation table was generated by a statistician. |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
开放标签 |
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Blinding: |
Open-label study |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
患者信息将立即输入纸质病例报告表( CRF) , 并与输入电子 CRF 同步。在此过程中发生的意外问题应记录下来, 并及时通知。 为了确定两个随机分组是否相似, 将收集人口统计学/疾病特征, 包括性别、 年龄、 地区、 体重指数和病史。 负责研究设计和实施过程的委员会将确保试验设计的有效性和完整性。 该委员会将监督数据收集的完整性和准确性, 以控制其质量。 委员会还需要根据其成员的临床专业知识评估关键结果。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
Patient information will be entered immediately into paper case report forms (CRFs) and synchronized with the electronic CRF. Any unexpected issues that arise during this process should be documented and reported promptly. To determine whether the two randomized groups are comparable, demographic and disease characteristics will be collected, including gender, age, region, body mass index, and medical history. The committee responsible for the study design and implementation will ensure the validity and integrity of the trial design. The committee will oversee the completeness and accuracy of data collection to ensure quality control. The committee will also evaluate key outcomes based on the clinical expertise of its members. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |